Reoperation after laparoscopic treatment of ovarian endometriomas by excision and by fenestration

Ahmed Saleh, A Saleh, Saleh A, Togas Tulandi, T Tulandi, Tulandi T
Fertility and Sterility · 1999 · vol. 72(2) , pp. 322–324 · doi:10.1016/s0015-0282(99)00243-5 · PMID:10439004 · W1999175530
article OA: closed CC0 ⤵ 119 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study compared reoperation rates after laparoscopic excision versus fenestration for ovarian endometriomas.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

ObjectiveTo compare the reoperation rate after laparoscopic treatment of ovarian endometriomas by excision and by fenestration.DesignRetrospective study.SettingUniversity-affiliated teaching hospital.Patient(s)Two hundred thirty-one premenopausal women with ovarian endometriomas treated laparoscopically.Intervention(s)Seventy women were treated with fenestration and ablation of the cyst wall and 161 women were treated with excision.Main outcome measure(s)The reoperation rates of the two groups of women were evaluated using life-table analysis.Result(s)The cumulative probability of reoperation was significantly higher after fenestration than after excision. The reoperation rates at 18 months and 42 months of follow-up were 6.1% and 23.6% after excision and 21.9% and 57.8% after fenestration, respectively. In the fenestration group, the age of the patient and the diameter of the endometrioma were not associated with a higher reoperation rate. In the excision group, a larger cyst was associated with a higher reoperation rate, but age had no influence on the reoperation rate.Conclusion(s)Laparoscopic excision of ovarian endometriomas is associated with a lower reoperation rate than that of fenestration. The reoperation rate after fenestration is independent of the size of the endometrioma and the age of the patient. However, after excision, the reoperation rate is higher in those with larger cysts.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Laparoscopy Ovarian Diseases Ovarian Diseases Drainage Endometriosis Female Follow-Up Studies Humans Infertility, Female Life Tables Ovarian Diseases Ovariectomy Probability Recurrence Reoperation Retrospective Studies Time Factors Treatment Outcome

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (17)

Cited by (50)

Source provenance

europepmc
last seen: 2026-07-27T06:15:28.040536+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:10:24.024533+00:00
License: CC0 · commercial use OK